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DEREK MITCHUM LEBRON-FRANK CRNA
NPI 1710654074
Nurse Anesthetist, Certified Registered in San Diego, CA

Active since August 25, 2021
200 W ARBOR DR, SAN DIEGO, CA 92103(800) 926-8273(888) 539-8781 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 11, 2026, Mar 6, 2026, Jul 22, 2022 and 1 more (4 updates tracked since 2021).

About Derek Mitchum Lebron-frank Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEREK MITCHUM LEBRON-FRANK CRNA (NPI 1710654074) is an individual nurse anesthetist, certified registered in San Diego, California, licensed in California (95002785) and active in the NPI registry since August 2021. He is affiliated with Au Medical Center, maintains 3 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1710654074
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameDEREK MITCHUM LEBRON-FRANKCredential: CRNA
Location Address200 W ARBOR DRSan Diego, CA 92103-9000
Mailing AddressFile 57326Los Angeles, CA 90074-7326 · (800) 926-8273
Phone(800) 926-8273
Fax(888) 539-8781
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 25, 2021
Last NPPES UpdateAugust 11, 20264 updates tracked since enumeration
NPPES CertifiedAugust 11, 2026
✔ NPI 1710654074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in CA · 95002785✔ Licensed in TX · 1068499✔ Licensed in GA · GAA-CRNA003379
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
200 W ARBOR DR, San Diego, CA 92103
Open in Google Maps ↗

Secondary Practice Locations 3

Location 19300 Campus Point DrLA Jolla, CA 92037-1300 · Phone (800) 926-8273 · Fax (888) 539-8781
Location 26655 Alvarado RdSan Diego, CA 92120-5208 · Phone (800) 926-8273 · Fax (888) 539-8781
Location 318511 Highlander Medics Street, WBAMCFort Bliss, TX 79918 · Phone (915) 569-3213

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Derek Mitchum Lebron-frank Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193107217
PECOS Enrollment IDI20240816003790, I20250409001254

Medicare Billing Reassignments

6

Medicare enrollment records show Derek Lebron-frank reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Regents Of The University Of California
0.1 mi
Nurse Anesthetist, Certified Registered
200 W ARBOR DR
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • 112 clinicians in this Medicare group
NPI 1265535702 (800) 926-8273
Cheyenne County Hospital Association, Inc.
973 mi
Clinic/Center
610 GLOVER RD STE 3
Sidney, NE 69162
  • Reassigned Medicare billing, Nebraska enrollment
  • Also billed through NPI 1487736963 (Nebraska)
  • 70 clinicians in this Medicare group
NPI 1538858238 (308) 254-5825
Northstar Anesthesia Of Nebraska LLC
975 mi
Anesthesiology
4021 AVENUE B
Scottsbluff, NE 69361
  • Reassigned Medicare billing, Nebraska enrollment
  • 61 clinicians in this Medicare group
NPI 1578187670 (308) 635-3711
Texas Ams PLLC
1,768 mi
Anesthesiology
28 N PALAFOX ST
Pensacola, FL 32502
  • Reassigned Medicare billing, Texas enrollment
  • 432 clinicians in this Medicare group
NPI 1174926125 (866) 653-2540
Wellstar Medical Group, LLC
1,863 mi
Internal Medicine
600 W MEMORIAL DR
Dallas, GA 30132
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
NPI 1063790350 (770) 443-4767
Anesthesia Consultants Of Augusta, LLC
2,025 mi
Anesthesiology
3651 WHEELER RD
Augusta, GA 30909
  • Reassigned Medicare billing, Georgia enrollment
  • 122 clinicians in this Medicare group
NPI 1881877793 (706) 466-4541

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Au Medical Center

Acute Care Hospitals · Augusta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110034
Location1120 15th StreetAugusta, GA 30912 · Richmond County
Emergency services Birthing friendly

Doctors Hospital

Acute Care Hospitals · Augusta, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110177
Location3651 Wheeler RoadAugusta, GA 30909 · Richmond County
Emergency services Birthing friendly

Sidney Regional Medical Center

Critical Access Hospitals · Sidney, NE
OwnershipVoluntary non-profit - Private
CMS Certification Number281357
Location1000 Pole Creek CrossingSidney, NE 69162 · Cheyenne County
Emergency services

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RAMIN MOTARJEMI M.D.
Internal Medicine (Geriatric Medicine)
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (858) 249-2500
DR. KYLE PALMER EDMONDS M.D., FAAHPM
Hospice, Inpatient
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
SHAWN RAVEENTH VEDAMANI MD
Anesthesiology
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
DALE MICHAEL TRUJILLO NP
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
DR. EUGENE THOMAS RICHARDSON IV MD
Internal Medicine (Infectious Disease)
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
KAYLEE PETERSEN ARNP
Nurse Practitioner (Psychiatric/Mental Health)
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
IRENE NEVAREZ NP
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
WILLIAM JAMES MOSS M.D.
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (508) 395-4189

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derek Lebron-frank's NPI number?

The NPI number for Derek Lebron-frank is 1710654074. It was assigned to this individual provider in the NPPES registry on August 25, 2021.

Where is Derek Lebron-frank located?

Derek Lebron-frank practices at 200 W Arbor Dr, San Diego, CA 92103. The listed phone number is (800) 926-8273.

What is Derek Lebron-frank's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Derek Lebron-frank enrolled in Medicare?

Yes. Derek Lebron-frank is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Derek Lebron-frank's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derek Lebron-frank reassigns Medicare benefits to 6 organizations: Regents Of The University Of California (San Diego, CA), Cheyenne County Hospital Association, Inc. (Sidney, NE), Northstar Anesthesia Of Nebraska LLC (Scottsbluff, NE), Texas Ams PLLC (Pensacola, FL), Wellstar Medical Group, LLC (Dallas, GA) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Derek Lebron-frank's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Derek Lebron-frank accept?

Health plans from Blue Cross and Blue Shield of Texas list Derek Lebron-frank as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Derek Lebron-frank affiliated with any hospitals?

According to CMS data, Derek Lebron-frank is affiliated with Au Medical Center, Doctors Hospital and Sidney Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Derek Lebron-frank was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.